Explanation
BACKGROUND: The Ohio Department of Job and Family Services (ODJFS) has selected five qualified managed care organizations to provide service to Ohioans enrolled in Medicaid beginning July 1, 2013. These five plans were selected through a fair and open application process and an objective scoring methodology that was based on applicants' past performance in coordinating care and providing high-quality health outcomes. The five managed care organizations are:
Buckeye Community Health Plan, Inc. FEIN - 32-0045282
Caresource FEIN - 31-1143265
Molina Healthcare, Inc. FEIN - 20-0750134
Paramount Advantage FEIN - 20-3376102
UnitedHealthCare of Ohio, Inc. FEIN - 31-1169935
The selection process is part of Ohio Medicaid's commitment to paying for performance and value, which was a hallmark of the Medicaid reforms in the Jobs Budget (House Bill 153), which saved taxpayers $1.5 billion and will improve care for vulnerable Ohioans.
Columbus Public Health, through its various clinics, has provided needed care to Medicaid patients for many years and wishes to continue to be a provider. This ordinance authorizes the Board of Health to enter into revenue contracts beginning July 1, 2013, with the five selected managed care organizations, and with any other plans that the ODJFS may approve.
FISCAL IMPACT: These monies will be deposited into the appropriate Health Department Fund based on the clinic that provides the reimbursable services. Because this is just a new process and not a new revenue source, the monies are already included in Health's Revenue Estimates and, as such, are already appropriated to the Health Department.
Title
To authorize the Board of Health to enter into revenue contracts beginning July 1, 2013, with the Ohio Department of Job and Family Services' five selected managed care organizations, and any additional plans that are approved, for reimbursement for services provided to eligible Medicaid clients at Columbus Public Health's clinics.
Body
WHEREAS, the Ohio Department of Job and Family Services (ODJFS) has conducted a fair and open application process and through an objective scoring methodology has selected five qualified managed care organizations to provide service to Ohioans enrolled in Medicaid beginning July 1, 2013; and,
WHEREAS, the scoring was based on applicants' past performance in coordinating care and providing high-quality health outcomes; and,
WHEREAS, in order for Columbus Public Health to continue to receive reimbursement for services provided to eligible Medicaid patients in our clinics, it is necessary to enter into revenue contracts with the five selected managed care organizations, and any additional plans that ODJFS may approve; Now, therefore,
BE IT ORDAINED BY THE COUNCIL OF THE CITY OF COLUMBUS:
SECTION 1. That the Board of Health is hereby authorized to enter into revenue contracts beginning July 1, 2013, with the following five selected managed care organizations, and with any other plans that the Ohio Department of Job and Family Services may approve:
Buckeye Community Health Plan, Inc. FEIN - 32-0045282
Caresource FEIN - 31-1143265
Molina Healthcare, Inc. FEIN - 20-0750134
Paramount Advantage FEIN - 20-3376102
UnitedHealthCare of Ohio, Inc. FEIN - 31-1169935
SECTION 2. That the funds necessary to carry out the purpose of this ordinance are hereby deemed appropriated, and the City Auditor shall establish such accounting codes as necessary.
SECTION 3. That this ordinance shall take effect and be in force from and after the earliest period allowed by law.